MRS. LORENE MAE PETERSON (NPI# 1407970726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407970726 |
| Entity Type | Individual |
| Full Name | MRS. LORENE MAE PETERSON |
| Credential | OTR |
| Practice Address |
1720 University Dr S Fargo ND 58103-4940 |
| Mailing Address |
4519 3rd St S Moorhead MN 56560-6729 |
| Practice Telephone | 7012804070 |
| Mailing Telephone | 2182368009 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
3838 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
101750 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
288 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1720 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609852136 | Scci Hospitals of America Inc. | Long Term Care Hospital | 1720 University Dr S, Fargo, ND 58103-4940 | 2005-12-16 |
| 1154921914 | Ailsa Anne Falck | Speech-Language Pathologist | 1720 University Dr S, Fargo, ND 58103-4940 | 2020-10-29 |
| 1225635634 | Sanford Medical Center Fargo | Pharmacy | 1720 University Dr S, Fargo, ND 58103-4940 | 2020-10-08 |
| 1821607169 | Catrina Olson Armstrong | Speech-Language Pathologist | 1720 University Dr S, Fargo, ND 58103-4940 | 2020-07-22 |
| 1730726662 | Jessica A Olson | Occupational Therapist | 1720 University Dr S, Fargo, ND 58103-4940 | 2019-12-10 |
| 1033763065 | Andrea Sailer | Speech-Language Pathologist | 1720 University Dr S, Fargo, ND 58103-4940 | 2019-07-29 |
| 1821657388 | Amanda Beth Reber | Nurse Practitioner | 1720 University Dr S, Fargo, ND 58103-4940 | 2019-06-10 |
| 1881167815 | Andrea Sluke | Occupational Therapist | 1720 University Dr S, Fargo, ND 58103-4940 | 2019-01-02 |
| 1972081982 | Michaela Johnson | Occupational Therapist | 1720 University Dr S, Fargo, ND 58103-4940 | 2018-08-01 |
| 1518444363 | Lori K Blomquist | Counselor | 1720 University Dr S, Fargo, ND 58103-4940 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215330881 | Jessica Ann Tweten | Occupational Therapist | 1720 University Dr S, Fargo, ND 58103-4940 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972908572 | Kurran Opp | Occupational Therapist | 4580 Coleman St, Bismarck, ND 58503-0431 | 2014-10-27 |
| 1891739074 | Karen Gayton | Occupational Therapist | 425 E Avenue C, Bismarck, ND 58501-3942 | 2006-06-16 |
Please comment or provide details below to improve the information on MRS. LORENE MAE PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.